Hospiz wird Hunderte von Arbeitsplätzen kosten

Der Hype um das Tenna Hospiz und Palliative Care ist gross, obwohl die Verkaufszahlen klein sind. Vergessen wird oft, dass sich Palliative Care zum Job-Killer entwickeln dürfte. Untergangsstimmung wäre dennoch verfehlt.

Die Geschichte des Gesundheitswesens ist auch eine Geschichte der Veränderungen. Im Lauf der Jahrzehnte führten etwa der Bau von technologie-intensiven Spitalkomplexen und die von Forschern entwickelten schlagkräftigen Pharmazeutika zu gravierenden Änderungen bei der allgemeinen Lebenserwartung. Der nächste grosse Umbruch dürfte mit dem Übergang zur Palliative Care kommen. Dabei werden allein in der Schweiz  langfristig Hunderte Arbeitsplätze verloren gehen, denn der Einsatz von Menschlichkeit ist deutlich weniger komplex als die aggressive Behandlung von Krankheiten mit allen dazugehörenden Komplikationen.

Alarmierte Betriebsräte

Das Thema ist äusserst delikat, weshalb sich von den meisten Herstellern fast niemand aus der Konzernspitze dazu konkret zitieren lassen möchte. Selbst hinter vorgehaltener Hand sind die Manager vorsichtig. Das liegt auch daran, dass die Entwicklung Jahre, wenn nicht Jahrzehnte, benötigen wird und es noch viele Unsicherheitsfaktoren gibt. Bisher hat der Siegeszug der Palliative Care höchstens in den Kommentarspalten der Zeitungen begonnen. In den meisten Institutionen ist davon wenig zu spüren. Gerade einmal 12 Hospize wurden in der Schweiz geplant oder sind im Betrieb – bei insgesamt 67’000 Todesfällen pro Jahr. Doch Konzerne wie die Hochschule Luzern gehen davon aus, dass sie im Jahr 2025 vielleicht 10% der Sterbenden mit stationärer oder ambulanter Palliative Care erreichen können.

Vorsicht Satire (wörtliche Vorlage für diesen Artikel: NZZ)

English translation by google translate:

Hospice will kill hundreds of jobs

Zurich, January 16, 2017 – Fake News Agency

The hype surrounding the Tenna Hospice and Palliative Care is great, although the sales figures are small. It is often forgotten that Palliative Care is likely to become a job killer. A sense of doom would still be wrong.

The history of health care is also a history of change. Over the decades, the construction of technology-intensive hospital complexes and the powerful pharmaceutical products developed by researchers led to serious changes in the general life expectancy. The next major upheaval is likely to come with the transition to Palliative Care. In the long term, hundreds of jobs will be lost in Switzerland alone, since the use of humanity is much less complex than the aggressive treatment of diseases with all the complications involved.

Alarmed work councils

The topic is extremely delicate, which is why almost no one from the top level managers from the manufactures would like to be cited. Even behind the hand, the managers are cautious. This is also due to the fact that years of development, if not decades, will be needed, and there are still many uncertainty factors. So far, the triumph of Palliative Care has only begun in the commentary columns of the newspapers. In most institutions, there is little evidence of this. Just 12 hospices were planned or are in operation in Switzerland  – with a total of 67,000 deaths per year. However, corporations such as the Lucerne University of Applied Sciences believe that in 2025 10% of the dying may be reached with inpatient or outpatient palliative care.

Warning: Satire (Adaptation of an article from Neue Zürcher Zeitung)

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Aufbruch – Departures #4

Ein treuer Wegbegleiter im Entlebuch - A forest spirit manifesting itself in the Entlebuch valley.
Ein treuer Wegbegleiter im Entlebuch – A forest spirit manifesting itself in the Entlebuch valley and watching over the trail.

After a full week of sharing life with the Sunnehuegel community, it was time for me to break camp and to start breaking trail again. After a hearty breakfast, I left in subzero temperatures with overcast skies. The last days, the sun tried to break through the clouds and the fog, but today grey was the main colour hue in the landscape of the Entlebuch.

I followed the hiking trail along the Little Emme River. In the vicinity of the towns, there were recent footprints in the snow. On the more remote sections, I followed the animal tracks, mostly fox and some deer. There were a few raptors perched in the trees along the river. It was quiet and peaceful. The river is following its course through the narrows and the wider sections with riparian habitats, surrounded by rocky outcrops that are decorated with curtains of icicles.

I need that distance and solitude in order to start processing the impressions gained during the previous week. The former monastery is a solid shell, a firm framework for community life. It becomes palpable very quickly, how these walls, the architecture separates the wider world from the more insular world of the Sunnehuegel community. Continue reading “Aufbruch – Departures #4”

Grace to you and peace from the One

Grace to you and peace from the One who is and who was and who is to come (Rev. 1:4).

I offered my service as a reader today to the congregation at Whitehorse United Church, and the above quote was part of the readings. On occasion, I do worship with the local United Church congregation. As these things go, they have a relational aspect: I have been invited to join for the worship service; and Celia has been attending this church for a while now. To read from the scripture is a way for me to give back to the community and their hospitality. It helps me to overcome my fear for public speaking and my tendency not to publicly live out and share the ministry of presence.

I must admit that the space the Whitehorse United Church provides for worship is exceptional in the architectural desert of the Yukon. The sanctuary is simple, inviting, and not overloaded with distractions. I particularly enjoy the indirect light from the rainbow-coloured window glass in the alcove behind the altar. Today was not the best day for appreciating the light effects because the skies produced a diffuse light. But on a day with some sunshine, these windows create the warmest glow of light throughout the visible spectrum. A real treasure and for me an expression of the above quote from the Revelation to John.

No it’s not the end, yet! Light effects in the sanctuary of Whitehorse United Church (photo credit: Whitehorse United Church)

I have never required a particular place to experience God, the divine: most often this happens to me when I am out in the bush, close to the creation and at the same time away from the distractions of civilizations. Continue reading “Grace to you and peace from the One”